Volume loss and contour irregularities in my inner thighs - How can this be correct or at least improved? (Photo)

Question

From 2021–2023, I underwent multiple Venus Legacy treatments. These were performed at a high frequency (at times 2–3 times per week), often 1 hour sessions, durations, and at temperature settings in the range of approximately 70–80°C. Following these treatments, I have experienced noticeable volume loss and contour irregularities in my inner thighs that were not present beforehand. Prior to treatment, I had only minimal cellulite in the back of my thighs. I am interested in understanding what corrective options may be appropriate. However, I’m not interested in a thigh lift at this time. I would appreciate any guidance on candidacy and realistic expectations for improvement.

Robert M. Lowen, MD · Answer

Dear Phenomenal,
   Since you have contour irregularities and depressions of the inner thighs, you might want to consider evening out the depressions with alloClae as it is a non-surgical treatment, comparable to fat grafting and you would not need to harvest fat.
  Without an in person exam,  it is hard to tell what condition the skin is from the excessive exposure to heat.

Semih Yildiz, MD, FEPOBRAS · Answer

I am sorry this happened. From the photo, I can see some texture and contour unevenness, but it is not possible to confirm the cause or depth of the problem from an image alone. After energy-based treatments, a surgeon would examine whether this is true fat loss, skin laxity, cellulite-type tethering, scar firmness, or a combination. That distinction matters because adding volume to loose skin will not behave the same as releasing a tethered contour defect.
If you are not interested in a thigh lift, improvement may still be possible, but usually modest and staged. Options can include small-volume fat grafting for depressed areas, subcision or scar release for tethering, cautious skin-quality treatments, or a combination. I would be careful with more heat-based tightening until you have been examined, since you are already concerned about volume loss. An in-person consultation with a plastic surgeon experienced in revision body contouring can give the most realistic estimate of whether improvement is likely without a lift.

Daniel Barrett, MD · Answer

Dear Phenomenal866513,

it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Gary M. Horndeski, MD · Answer

The inner thigh skin appears to be quite thin and cannot handle the mechanical load from the fat underneath it. The only way to treat this will be surgical. The excess skin will need to be excised and the skin envelope will need to be tightened.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Kadir Berat Oyur, MD · Answer

Based on your history and the photos provided, the volume loss and contour irregularities in the inner thighs are likely related to tissue laxity and fat atrophy following repeated high-energy treatments. As you are not considering a thigh lift, minimally invasive options such as fat grafting (lipofilling) to restore volume, combined with skin-tightening treatments like radiofrequency or ultrasound based devices, may help improve the overall contour. It is important to maintain realistic expectations, as results are typically moderate, but a tailored approach can provide a smoother and more balanced appearance.

Mehmet Ozdemir, MD · Answer

Based on your history and the photo, we believe the volume loss and contour irregularities in your inner thighs are likely due to fat atrophy and tissue changes from repeated high-frequency Venus Legacy treatments at elevated temperatures. This can sometimes lead to uneven fat reduction and mild skin laxity. As you are not interested in a thigh lift, suitable options may include fat transfer (lipofilling) to restore lost volume and smooth the contour, possibly combined with skin-tightening treatments such as radiofrequency or J-Plasma for better skin quality. A detailed in-person assessment is important to evaluate tissue condition and determine how much improvement can realistically be achieved, but overall, noticeable enhancement is possible with the right approach.

Camille Cash, MD · Answer

I encourage you to begin by visiting with a board certified plastic surgeon near you to discuss your options.  You may be a candidate for J Plasma or BodyTite to help improve the skin laxity.  For cellulite you may be a candidate for Aveli.  Your surgeon will advise you after an in person evaluation.

Volume loss and contour irregularities in my inner thighs - How can this be correct or at least improved? (Photo)

Answers (7)

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